icRKphJXQm-ezth8lntKydifkDg The Loose Screw: spine
Showing posts with label spine. Show all posts
Showing posts with label spine. Show all posts

Thursday, April 25, 2013

Book Review~Life's a Pain





I have chronic pain due to spine problems and arthritis.  Over the years, I have struggled with accepting this and have wondered why God didn't take the pain away.  Life's A Pain: Journeying By Faith When Every Step Hurts immediately appealed to me.  What's really fascinating is that it is written by a pastor, Todd Rettberg, who has dealt with chronic pain himself for most of his life.  He knows what it is like to deal with daily pain while being a husband, father, and pastor.

The author uses stories from his own life and others, as well as Scripture, to help us understand that God is there for us every step of the way.  Also, that God made it clear in the Scriptures that we will have pain. Instead of thinking of it as a punishment from God, think about it this way: "He thought so much of me that He believed my pain could be used for His glory."

I think people who don't understand chronic pain think it doesn't affect the rest of your life, but oh it does.  The pain in my spine effects the rest of my body, my energy level, my mood, and my attitude.  It effects how I interact with my family and friends.

When you faithfully call out to God for help in the midst of your suffering, and nothing changes (or it gets worse), you may wonder why this Heavenly Father who loves you so much is letting you suffer.  That's hard to wrap your mind around, and is probably the cause of many people losing faith in God.

I really liked this quote from the book, "In our culture people are surprised when suffering appears.  But are we surprised when God blesses us?  If not, why are we surprised when the opposite occurs?  As Job put it, 'Shall we accept good from God, and not trouble?' Job 2:10"

It is up to the individual what they will do with their pain-I choose to use it for God's glory.  I've done the pity party thing and it is no fun for me or those around me. Life's a Pain: Journeying By Faith When Every Step Hurts has been a blessing and help to me, and I highly suggest it to those with chronic pain and those who are close to someone with chronic pain.  This is a book I have underlined and highlighted, and plan to keep out for future reference and encouragement.

Life's a Pain (ISBN 9781936746248) is available for purchase here.

Disclosure of Material: I received this book free from the publisher through the BookCrash.com book review program, which requires an honest, though not necessarily positive, review. The opinions I have expressed are my own. I am disclosing this in accordance with the Federal Trade Commission’s CFR Title 16, Part 255: “Guides Concerning the Use of Endorsements and Testimonials in Advertising.”

Thursday, April 12, 2012

An Unplanned Break



Obviously, I've been gone for a few weeks! This wasn't planned, and wasn't enjoyed either.  First we had an emergency with our oldest, and then my pain management doctor finally got approval to switch my pain medication.  I had been on the same medication for 5+ years and it was not as effective anymore.  So, we switched to something new and it was a nightmare!!!  It has taken over a week for my body to withdraw from the old and adjust to the new.  I was completely useless to the world and in agony 24/7. Easter dinner and baskets and eggs and all that didn't happen. I am thankful it is over (mostly, a few symptoms still lingering) and don't ever want to do that again!!

Tuesday, March 31, 2009

Illnesses..es...es Part 2!

This is so hard to write about! Hence the length of time between Part 1 and Part 2. I really don't like writing about it for several reasons, one of which is it is hard to keep track of everything that has happened!! But like I said in the last post, I think it is good for me to get it out here since it is a big part of our lives. I do think it is somewhat therapeutic to write about it as well.

So, last time we left off at the spine surgery where they built the internal neck brace. I realized I forgot a few things that happened before this surgery, so I want to mention those first. After the second fusion attempt, I couldn't swallow without inhaling liquid/food, choking, etc. After x-rays and swallow studies, it was discovered that in going through the front of the neck to get to the spine, my esophagus was damaged. The flap doesn't seal tightly anymore and they couldn't fix it. So, I had to have 'swallow therapy'. While I was being x-rayed, I would swallow the dye/solution that shows up on the films. I swallowed many different ways until things worked right. Then I was on my own to get used to swallowing that way-it is my normal swallowing forever, more of a gulp with a lot of air to it. I'm usually not aware of it, it is second nature now.

The other thing I forgot about was continuing to have problems with sores and things not healing well, excessive bleeding, etc. I looked online and after much searching, found something that I thought fit my symptoms. I asked my PCP at the time, who had never heard of it, but ordered preliminary tests. Those came back positive for a form of hemophilia called von Willebrand's disease. So then I was sent to an oncologist/hematologist for further tests, and it was all confirmed. Basically what we learned is I am missing factor 8 in my blood, which means I do clot eventually, but it could take a long time if it happens at all. I had a few other factor problems that I don't remember now, obviously they weren't as big of a deal. This blood disorder meant I needed the factor replaced for major bleeding things like surgery, and any fall or big blow to the body could be causing internal bleeding. We also stopped my periods artificially, since they were a major problem, lasting too long and being too heavy. Anemia is very common with this disorder. Since I was diagnosed, just last year my daughter Alyssa (14) was diagnosed as well. When you have this disorder, you have a 50% chance of passing along hemophilia to your children. Poor Aly was the lucky one!

OK, back to the story. The spine surgery was done, everything was healing properly, and I felt HORRIBLE. Worse than before surgery. My entire body ached, my joints were stiff, and I was extremely fatigued. Everyone (doctors included) kept saying to give myself time to get over the surgery, but I knew something was not right. I remember in November, around Thanksgiving, 4 months after surgery, I thought I was close to dying. I had to use a cane a lot, and felt like crawling on the floor instead of dealing with the pain of trying to walk. Finally, in January 2007 I was referred to a rheumatologist, who ran a lot of tests. I remember getting the results the day before Valentine's day. I had a multi-organ autoimmune disease, and my numbers were so high they were off the charts. There are hundreds of autoimmune diseases such as rheumatoid arthritis for one, which are organ specific. In my case, my immune system doesn't protect me as it should, and instead attacks my own cells/organs/tissue, basically any part of my body is fair game. I don't have a specific name for my disease at this point except that it is a connective tissue disease and multi-organ autoimmune disease. There is no cure. Usually it attacks joints, muscles in the early stages and then organs later (often kidneys first, then liver but it could be anything). I was told that if I were to get sick it can get worse, being in the sun can make it worse, as can stress. When I was told it was terminal with no cure, I was numb. It just couldn't be. I remember going to Walgreen's for Valentine's candy for my kids, and just standing there in a daze, thinking this will probably be my last Valentine's day. Then the tears started once I got into the car.

A lot has changed since that day-obviously, it was not my last Valentine's day (I've had 2!), and I have learned a lot, prayed a lot, been prayed for a lot, and I'm on medication to help ease the symptoms. I've learned 'terminal' is relative. With this disease, it could be 20 years from now, or yes it could be next month if something were to happen and my organs shut down quickly. I've learned to relax about it, and take each day as it comes, as a gift. The only problem with that is this disease makes you feel like crap! I want to be loving life, but I'm fatigued and everything hurts. What did help me a lot was an old anti-malaria medicine, which takes the edge off of the symptoms. The side effect, though is that it damages the cornea. So, my eyes are checked very carefully so I will be pulled off the medicine quickly if changes are noted. I also have osteoarthritis in many joints now, so its hard to tell which disease my pains are from sometimes! I go to several doctors, and my organ function is checked every 3 months if things are going fairly well. So far, the disease has stuck to my joints/muscles, with a slight problem with my kidneys last Fall, which they are watching carefully. Odd things happen, like a few months ago I woke up with a torn rotator cuff! After several weeks in pain and not being able to use my right arm (just before/during Christmas!), the pastors and elders of our church got together and prayed for me. The next day, my arm felt significantly better, and healed completely soon after! We had been afraid I would need surgical repair. This was a big relief and praise on this rollercoaster of ups and downs, and a reminder of God's healing power.

When I was first diagnosed, I was told that there is remission, however the medical profession has no idea how it happens. But, the doctor told me that sometimes they can do chemotherapy or a bone marrow transplant to 'trick' the body into remission. I held onto hope for one of these treatments, and finally was told several months ago that I was not a candidate for them because of the way my immune system works (or doesn't work)-he came right out and said he was absolutely sure I would die from the treatment.

So, now I am on a lot of medication. I am on disability, which helps replace the income I lost, but is pretty much eaten up by medical/prescription copays. I am thankful for it though. I could sleep 23 hours of the day easily, but I don't. I do easy household chores and easy meals on good days. I try to smile and have fun, even though I'm tired and in pain. Some days are better than others. During cold and flu season, I have to avoid people so I am home a lot. I long for a 'normal' relationship with my family-being active physically together, but we try to find OUR 'normal'. I try to be thankful each day, and not get down about missing out on activities outside of the home. I am very thankful for my awesome husband Jeff, who has been through so much with me during our 20 years of marriage. Most days, after dealing with the most horrendous crimes against children, he walks through the door and is willing to help do whatever I need. Plus he has a second job just so we can get by. My kids are so understanding and caring, and I love them so much. My oldest two, Nick and Alyssa, still are homeschooled, but they are doing a virtual school and only need me to supervise. My youngest, Chad, is in kindergarten half days. If my health improves, I would like to homeschool him eventually. Our families are all far away, so we have been without extended family support through all of this, but we've had the support of wonderful friends and church family. I am blessed. I know God has a reason for my illness, and I know He can heal me if and when He chooses. I appreciate your prayers for me and my family, and I will try and update about my health when necessary!

Wednesday, March 25, 2009

My Illness(es..es..es....)

I figure it's about time to go into this subject, since I touch on it here and there in posts and in my profile. I might have to do this in a couple posts even. Here goes-as a child, I was fairly healthy. I was adopted, a closed adoption as they all were in the 60s I think! So, we had no access to medical records, conditions, anything. When I was a pre-teen, it was discovered I had scoliosis (curvature of the spine). Mine was up high between the shoulder blades, and was already too advanced for a brace to be helpful. Usually, (back then at least) they were trying to just stop the curve from worsening, not trying to correct anything. The doctor we saw suggested surgery to put in a steel rod, and I would be in a body cast for several months (9 I seem to remember). My parents looked into alternative treatments (quite surprising now that I think of it!!), and found an experimental study going on using something called a Scolitron. For about 3 years I wore this machine at night for 8 hours, with electrodes at the top and bottom of the curve, and for 8 seconds it would electrically shock my spine completely straight (I know, crazy and painful) and then let it rest for 8 seconds. It took a long while for me to get the shock up high enough to straighten for those 8 seconds, I had to increase the power a tiny bit each night, as much as I could bear. I finally got used to it, and actually at the end of the 3 years, had to wean off of it!! It did stop my curve from worsening, and they x-rayed my wrist each month to see when I stopped growing, so I could be done with the treatment. I finished growing in 8th grade, and it was really weird to know that fact!!

The reason I'm explaining all of this (beside the weirdness of it), is we really do not know how much of it had/has an impact on my spine now. Maybe I should have had the surgery. All we know now, is that the experimental treatment was not approved by the FDA, in fact was just about laughed out. Most spine specialists now have never even heard of such a thing and are 'shocked' (ha!) by it. All I know is my parents did what they thought was best for me, and I love them for that. I can't imagine putting my child through the surgery they were describing either, if there were other options. Plus, my curve did stop curving! Would it have anyway on its own?? Maybe. I ended up with the curve crushing my organs and ribs a few centimeters permanently, which is normal. Does all of this contribute to my problems now? Maybe. Probably. It depends which doctor I am seeing. Frustrating. I do know the Greatest Doctor knows all the answers to my questions, and He will answer them for me in Heaven. Until then, back to the story.....

In my 20s, things were pretty much OK, I had my two biological children. I know now that things weren't fine and that is why I had trouble with my last pregnancy and other little things. I couldn't have any other kids because my body didn't want to keep them inside me. Then about 10 years ago, my bladder fell. Now, this happens to women who have had lots and lots of babies, huge babies, etc. Neither had happened to me. Couldn't figure that one out (but we know now!), so I had the bladder surgically put back up in a little sling made out of my ligaments and all was back to normal.

Around 2001, my upper spine/neck was really hurting. It always hurt by the end of the day, and I was told this was due to the scoliosis. But this was much worse. I was working at home as a medical transcriptionist full time, so lots of computer work. This is when I found out that I have degenerative disc disease. My discs had not herniated, they had dissolved/disappeared. I needed surgery to have two spinal levels(c56, 67) fused together with artificial disc material placed in them and plates and screws. I had to have a really horrible test done in the OR while awake, that I still have nightmares about to this day. They couldn't give any pain meds because they needed a true response-yuck. So, I had the surgery in March. They went in through the front of the neck (a surprise to me), and because my veins did not cooperate I had to have a port in my chest. The recovery from that surgery was awful. I was in a hard collar for 2 months, which was so uncomfortable. Then a soft one for a few months after that. The bad news was that the pain did not go away. We kept giving it time, giving it time, but time didn't work. Finally, after a move, a new neurosurgeon (we switched from orthopedic surgeon to neurosurgeon-good move) did an MRI and said the spine never fused to the hardware. So, in 2003 I had the surgery redone, this time with a new 'miracle-grow' cell producer liquid dripped into donor bone. A plastic surgeon came in and took out my old scar, which had not healed well (another clue for later), and tried to make a better one. Also to try to encourage fusing, I wore a bone growth stimulator around my neck during the day for about six months. During this surgery was when the broken screw was noticed and could not be retrieved, hence the name of my blog. There was some question of a bleeding problem during this surgery, and a blood clotting medication was used during surgery, but at a consultation with a hematologist afterward he said there was no problem.

We moved to Utah, and I was feeling better than after the first surgery, but still in a lot of pain. I saw a neurosurgeon here, and she showed me how the second fusion did not take either! On top of that, now there were problems compounded-the vertebrae underneath the fusions had shifted, causing a 'step-down' to my spine (I still have that), bone spurs, degeneration at a level immediately above and immediately below the old fusions, and at certain movements of my head, the edges of vertebrae hitting each other. So, not good. While waiting for surgery, I had a few outpatient spinal blocks done in my neck and other fun things I can't even remember to try to ease the pain. I wore a brace until surgery, which was July 2006. Because I had been entered twice in the front of the neck, she had to go in through the back, which is harder surgically to work with. She decided to add in one of the new degenerated levels (c7-T1), but to leave the other one (c45) for later (something to look forward to-yea!). She put in mass plates at the facet joints (I think I have that right), and basically made an interior neck brace so that the unsafe movement that was happening couldn't happen anymore. Also, this interior neck brace would not count on my body to fuse, it wouldn't need to as this hardware would hold everything together. The drawbacks to having this major of hardware inserted was that she said I would forever have pain, though hopefully not as bad as it was before. Also, I could never do any athletic activities-walking was about all that was safe. No lifting over about 10 lbs. Lots of restrictions, but it seemed worth it. The pain is about the same, but its hard to tell what is arthritis (which I have now), DDD, scoliosis, or autoimmune (below).

After this surgery, my spine healed well, but my body fell apart, and we now know that the surgery triggered my dormant autoimmune disease (which we didn't know I had) to make a MAJOR appearance. I think that will be the next post, as this is getting TOO LONG. Next post-autoimmune disease, and all the fun you can have with that!